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2020-21 Waiver of Liability

Welcome to Loudoun Flexx Basketball, the premier AAU/Travel club in Loudoun County. The program's primary focus is on teaching the proper fundamentals of basketball, teamwork, and sportsmanship. We believe in positive reinforcement to promote confidence and foster a love for the game of basketball. We are excited to have your player be a part of the Flexx family.

I being the parent of the player named below, hereby agree that I will hold the Loudoun FLEXX Basketball (“Flexx”) and its officers, directors, and coaches faultless in the event of injury, illness, or other harm occurring to the my child at any associated Flexx event, tryout, practice, games, or tournaments or at any such event that Flexx participates in. By signing this “Waiver of Liability” I attest to the organizer, Loudoun Flexx Basketball, that adequate medical insurance is available for my child and that I am solely responsible for any medical expenses if necessary.

I fully understand and appreciate the health risks that are inherent in basketball activities and also, including but not limited to the risk of exposure to COVID-19. I hereby assume the risk of bodily injury, illness, and death resulting from my or my child's activities. I understand that certain inherent factors may make me more susceptible to acquiring COVID-19 or may increase the likelihood of severe symptoms including death if I contract COVID-19, and I have taken such factors into consideration and discussed any concerns with my physician(s) prior to participating in basketball related activities.

I hereby release, discharge and agree to indemnify and hold Loudoun FLEXX Basketball harmless from, and waive on behalf of myself, my heirs and successors, any and all causes of action, claims, demands, damage, costs, expenses and compensation or loss to myself that may be caused by any act, or failure to act by Flexx and its representatives, or that may otherwise arise in any way in connection with any activities with, or at a Flexx sponsored event.

I understand that this release discharges Loudoun FLEXX Basketball from any liability or claim that I may have against FLEXX with respect to any bodily injury, illness, or death that may arise from or in connection with my activities.

This liability waiver and release extends to the Flexx organization together with all its Board of Directors, all parent or member entities and all coaches, all affiliated entities and their Board of Directors, and employees.

By clicking Yes below, I agree to the language above.*

Player Full Name*

Player DOB*

Player Current Grade*

Head Coach Name*

Parent Name(s)*

County of Residence*

Parent1 Email Address*

Parent1 Phone Number*

Parent2 Email Address

Parent2 Phone Number

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